Elaine Teresa Fuller in Greenville - Physician Assistant
Elaine Teresa Fuller - NPI 1932148970
Elaine Teresa Fuller is a Physician Assistant in Greenville, South Carolina. Elaine Teresa Fuller practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elaine Teresa Fuller is 1932148970. The last update date is 2021-06-30.
Elaine Teresa Fuller's current location address is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. You can contact this provider via phone number 8645228603. The mailing address for Elaine Teresa Fuller is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Teresa Fuller |
|---|---|
| Address | 300 E Mcbee Ave Fl 4, Greenville, South Carolina |
| Phone Number | 8645228603 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1932148970 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2021-06-30 |
Provider Mailing Address Detail
| Address | 300 E Mcbee Ave Fl 4 |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296012842 |
| Phone Number | 8645228603 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 282 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 576007863095 | SC | BCBS OF SC | |
| 0279PA | SC | -- | |
| P00182170 | SC | RR MEDICARE | |
| P00801539 | SC | RR MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Elaine Teresa Fuller by the Centers for Medicare & Medicaid Services?
The Elaine Teresa Fuller has been issued the NPI (National Provider Identifier) 1932148970. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Elaine Teresa Fuller?
The Elaine Teresa Fuller is physically situated at 300 E Mcbee Ave Fl 4, in the city of Greenville, state of SC, with the postal code 296012842.
What is Elaine Teresa Fuller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elaine Teresa Fuller is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932148970 to Elaine Teresa Fuller?
The Centers for Medicare & Medicaid Services assigned the 1932148970 to Elaine Teresa Fuller on 2006-06-05.
As of what date were the details related to Elaine Teresa Fuller most recently updated or revised?
The information pertaining to Elaine Teresa Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-30.
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